<div class="card border-info m-3">
    <div class="card-header bg-info text-white">
        退货申请单
      </div>
      <div class="card-body">
        <div class="container">
          <form>
            <div class="form-group row">
              <label for="staticEmail" class="col-sm-2 col-form-label">订单编号：</label>
              <div class="col-sm-auto">
                <span class="form-control-plaintext">201808159283729</span>
              </div>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">申请售后时间：</label>
              <div class="col-sm-auto">
                <span class="form-control-plaintext">2018-08-12 15:30:48</span>
              </div>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">订单实收款（元）：</label>
              <div class="col-sm-10">
                <span class="form-control-plaintext">100</span>
              </div>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">退款金额（元）：</label>
              <div class="col-sm-10">
                <span class="form-control-plaintext">100</span>
              </div>
            </div>
            <div class="form-group">
              <label for="exampleInputEmail1">退款原因：</label>
              <div class="col-sm-5">
                  <textarea class="form-control" id="deblock_udid" name="deblock_udid" rows="3"></textarea>
              </div>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">货物状态：</label>
              <div class="col-sm-10">
                <span class="form-control-plaintext">未发货</span>
              </div>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">管理员：</label>
              <div class="col-sm-atuo margin-right-10">
                <span class="form-control-plaintext">售后01</span>
              </div>
              <div class="col-sm-atuo"> <span class="form-control-plaintext">2018-08-12 15:31:48</span> </div>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">备注：</label>
              <div class="col-sm-auto">
                <span class="form-control-plaintext">无</span>
              </div>
            </div>
            <hr>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label text-danger">订单详情：</label>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">成交时间：</label>
              <div class="col-sm-auto">
                <span class="form-control-plaintext">2018-08-12 15:30:48</span>
              </div>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">购买数量：</label>
              <div class="col-sm-auto">
                <span class="form-control-plaintext">x 1</span>
              </div>
            </div>
              <div class="media">
                  <img class="align-self-center mr-3 img" src="https://image.cnpp.cn/upload/images/20151202/10334817940_551x551.png_250_250.jpg" alt="Generic placeholder image">
                  <div class="media-body">
                    <p>18K金 YVMIN 天生一对大溪地黑珍珠钻石项链</p>
                    <p class="mb-0">货号：52026-2 颜色：金色； 尺寸：15CM；</p>
                  </div>
                </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">退款编号：</label>
              <div class="col-sm-auto">
                <span class="form-control-plaintext">201808159283729A</span>
              </div>
            </div>
            <hr>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label text-danger">买家信息：</label>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">收件人：</label>
              <div class="col-sm-auto">
                <span class="form-control-plaintext">小猪佩奇</span>
              </div>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">联系方式：</label>
              <div class="col-sm-auto">
                <span class="form-control-plaintext">15600090908</span>
              </div>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">收货地址：</label>
              <div class="col-sm-auto">
                <span class="form-control-plaintext">广东省 深圳市 福田区 华强北街道 华强北路1019号华强广场酒店</span>
              </div>
            </div>
            <hr>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">客服人员填写：</label>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label"><b class="text-danger">*</b>审核意见：</label>
              <div class="col-sm-auto">
                <div class="form-check form-check-inline">
                  <input class="form-check-input" type="radio" name="inlineRadioOptions" id="inlineRadio1" value="option1">
                  <label class="form-check-label" for="inlineRadio1">同意</label>
                </div>
                <div class="form-check form-check-inline">
                  <input class="form-check-input" type="radio" name="inlineRadioOptions" id="inlineRadio2" value="option2">
                  <label class="form-check-label" for="inlineRadio2">不同意</label>
                </div>
              </div>
            </div>
            <div class="form-group row">
                <label class="col-sm-2 col-form-label">描述：</label>
                <div class="col-sm-auto">
                    <textarea class="form-control" id="deblock_udid" name="deblock_udid" rows="3"></textarea>
                </div>
              </div>


              <hr>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">库管人员填写：</label>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label"><b class="font-red">*</b>审核意见：</label>
              <div class="col-sm-auto">
                <div class="form-check form-check-inline">
                  <input class="form-check-input" type="radio" name="inlineRadioOptions" id="inlineRadio1" value="option1">
                  <label class="form-check-label" for="inlineRadio1">同意</label>
                </div>
                <div class="form-check form-check-inline">
                  <input class="form-check-input" type="radio" name="inlineRadioOptions" id="inlineRadio2" value="option2">
                  <label class="form-check-label" for="inlineRadio2">不同意</label>
                </div>
              </div>
            </div>
            <div class="form-group row">
                <label class="col-sm-2 col-form-label">描述：</label>
                <div class="col-sm-auto">
                    <textarea class="form-control" id="deblock_udid" name="deblock_udid" rows="3"></textarea>
                </div>
              </div>


              <hr>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label">客服人员填写：</label>
            </div>
            <div class="form-group row">
              <label class="col-sm-2 col-form-label"><b class="text-danger">*</b>审核意见：</label>
              <div class="col-sm-auto">
                <div class="form-check form-check-inline">
                  <input class="form-check-input" type="radio" name="inlineRadioOptions" id="inlineRadio1" value="option1">
                  <label class="form-check-label" for="inlineRadio1">再次入库</label>
                </div>
                <div class="form-check form-check-inline">
                  <input class="form-check-input" type="radio" name="inlineRadioOptions" id="inlineRadio2" value="option2">
                  <label class="form-check-label" for="inlineRadio2">寄回给用户</label>
                </div>
              </div>
            </div>
            <div class="form-group row">
                <label class="col-sm-2 col-form-label">描述：</label>
                <div class="col-sm-auto">
                    <textarea class="form-control" id="deblock_udid" name="deblock_udid" rows="3"></textarea>
                </div>
              </div>
              <div class="form-group row justify-content-center">
                  <div class="col-sm-1">
                      <button type="button" class="btn btn-outline-dark">取消</button>
                  </div>
                  <div class="col-sm-1">
                      <button type="button" class="btn btn-primary">提交</button>
                  </div>
                  
              </div>
          </form>
        </div>
      </div>
  
    </div>